- NTT DATA North America (Montgomery, AL)
- …implementation of corrective/preventive actions, compliance with PMI methodology, and continual process improvement efforts + Administrative support tasks such ... inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid CMS Certification Lead to join our team in Montgomery,… more
- The Cigna Group (St. Louis, MO)
- **POSITION SUMMARY** The Medicaid /Marketplace Client Strategy Senior Advisor serves as the primary contact for Medicaid /Marketplace strategic initiatives and ... market development. You will become a subject matter expert (SME) on Medicaid /Marketplace pharmacy benefits, Express Scripts Programs and Products, and State and… more
- Humana (Madison, WI)
- …a part of our caring community and help us put health first** Humana Medicaid is seeking a dynamic and strategic Senior Insurance Product Manager to join our ... Medicaid Product Strategy Organization, supporting the continued growth and...operational teams to develop value-added benefits and services. + Lead benefit filing processes with regulatory agencies, ensuring timely… more
- Highmark Health (Tallahassee, FL)
- …Business Solutions leadership in strategic activities to expand IT capabilities for Medicaid growth in the dental market by: Applying SME knowledge to analytical ... strategic thinking to identify business needs for growing and sustaining the Medicaid business. Apply SME knowledge and oversee multiple teams' activities related to… more
- Molina Healthcare (Fort Worth, TX)
- …accuracy and auditing configuration and outgoing payments + Focuses on process improvement , organizational change management, program management and other ... : + 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft… more
- Highmark Health (Pittsburgh, PA)
- …solutions with seamless omni-channel handoffs. As a key leader of the Medicaid Clinical organization, role is responsible for maximizing and optimizing value of ... operational excellence/administrative cost management. This requires the incumbent to lead their team through the implementation of alternative resourcing strategies… more
- Humana (Louisville, KY)
- …insights relevance, and impact on Stars and other quality metrics. + Lead continuous improvement initiatives, leveraging data analytics and customer feedback ... and help us put health first** Humana seeks a strategic and results-driven Lead Product Manager to oversee the end-to-end lifecycle of the Patient Experience Survey… more
- Humana (Baton Rouge, LA)
- …including state departments of health insurance and/or CMS + Knowledgeable in process improvement **Additional Information** WAH Internet Statement To ensure ... compliance risk exposure for the Company. As a Compliance Lead for our Medicaid business, you will...product lines to enhance compliance data analytics and operational improvement efforts; + Coordinate and manage a standard set… more
- Humana (Annapolis, MD)
- …of our caring community and help us put health first** The Business Intelligence Lead role, leads the design, development, and management of Power BI dashboards and ... analytics initiatives to support Medicare/ Medicaid care management programs. The role emphasizes project management, advanced DAX programming for Power BI, and… more
- Centene Corporation (Dover, DE)
- …Purpose:** Oversee all related activities for the Quality Improvement functions. Lead and direct process improvement activities for more efficient ... of QM/QI health care experience, including HEDIS data collection, implementing rapid-cycle process improvement principles and using study design and evaluation… more
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